Organization
MICHAEL J BROOM M.D., P.A.
Active
Other names
FLORIDA SPINECARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS BYRNES (ADDMIN)
(407) 481-2244
Entity
Organization
Contact information
Practice address
1405 S ORANGE AVE, SECOND FLOOR, ORLANDO, FL 32806-2154
(407) 481-2244
(407) 481-8160
Mailing address
PO BOX 568008, ORLANDO, FL 32856-8008
(407) 481-2244
(407) 481-8160
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0052975
FL
Other
Enumeration date
11/05/2007
Last updated
04/06/2009
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